Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.94 / $44.94 / $47.79	Facility	26	$44.94	$44.94	$47.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $66.40 / $102.03	Professional		$43.79	$66.40	$102.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.92 / $35.11 / $49.19	Professional	26	$25.92	$35.11	$49.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $27.60 / $58.84	Professional	TC	$17.87	$27.60	$58.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $84.31 / $108.00	Professional		$44.97	$84.31	$108.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.62 / $39.04 / $52.55	Professional	26	$26.62	$39.04	$52.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $39.79 / $56.67	Professional	TC	$18.07	$39.79	$56.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $93.93 / $113.86	Professional		$67.18	$93.93	$113.86
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $39.50 / $47.88	Professional	26	$28.25	$39.50	$47.88
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.93 / $54.43 / $65.98	Professional	TC	$38.93	$54.43	$65.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $32.34 / $92.42	Professional		$29.81	$32.34	$92.42
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $72.06 / $72.06 / $72.06	Facility	26	$72.06	$72.06	$72.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $89.05 / $107.46	Professional		$75.69	$89.05	$107.46
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $31.30 / $36.82 / $52.33	Professional	26	$31.30	$36.82	$52.33
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $44.40 / $52.24 / $57.95	Professional	TC	$44.40	$52.24	$57.95
United Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $64.48 / $89.69	Professional		$45.88	$64.48	$89.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.36 / $34.20 / $47.91	Professional	26	$27.36	$34.20	$47.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $26.95 / $43.89	Professional	TC	$18.23	$26.95	$43.89